Yearly Archives: 2021

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Perioperative circulatory support for lung transplantation.

Abstract Objective Extracorporeal membrane oxygenation (ECMO) has recently replaced cardiopulmonary bypass (CPB) as the preferred option for providing circulatory support during lung transplantation. This review aimed to summarize the previous..

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Extracorporeal Membrane Oxygenation (ECMO) complications.

Joe Basha, CCP and Mike Brown, CCP describe and discuss common and complex complications of ECMO.   

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2020 Acute Coronary Syndromes (ACS) in Patients Presenting without Persistent ST-Segment Elevation (Management of).Guidelines

Preamble Guidelines summarize and evaluate available evidence with the aim of assisting health professionals in proposing the best management strategies for an individual patient with a given condition. Guidelines and..

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2020 ESC Guidelines for the management of Adult Congenital Heart Disease

  Since the previous version of the Guidelines on the management of grown-up congenital heart disease (CHD) was published in 2010, new evidence has accumulated for this patient group, particularly..

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Hydroxyethyl starch and acute kidney injury in high-risk patients undergoing cardiac surgery: A prospective multicenter study

Abstract Background  (HES) solutions increase the risk of  (AKI) in critically ill patients admitted to intensive care unit (ICU) for medical indications. We conducted a cohort study to evaluate the renal..

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Use of CytoSorb in septic multiple organ failure following intestinal ischemia due to volvulus with concomitant liver failure after COVID-19…

This case reports on a 45-year-old male patient who was hospitalized for emergency intervention due to recurrent abdominal discomfort following CT-confirmed occlusion of the superior mesenteric artery. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/04/cyto2_compressed.pdf"]

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Use of CytoSorb in a patient with capillary leakage syndrome, pulmonary failure, and acute renal failure after mitral valve repair…

This case reports on a 39-year-old patient who presented to hospital for elective surgery due to high-grade mitral valve regurgitation. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/04/cyto1_compressed.pdf"]

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Guía Para Realización, Interpretación y Aplicación de la Ecocardiografía de Estrés en Cardiopatía Isquémica: De la American Society of Echocardiography

Abstract Desde la publicación de la guía para ecocardiografía de estrés por la American Society of Echocardiography (ASE) en el 2007,1 nueva información ha estado disponible sobre esta metodología, incluyendo..

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Management of Neonates With Tetralogy of Fallot

  Study Questions: What are the differences in outcomes between a strategy of staged repair (SR) (initial palliation [IP] and subsequent complete repair [CR]) as compared with primary repair (PR)..

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Prone position in intubated, mechanically ventilated patients with COVID‑19: a multi‑centric study of more than 1000 patients

Abstract Background: Limited data are available on the use of prone position in intubated, invasively ventilated patients with Coronavirus disease-19 (COVID-19). Aim of this study is to investigate the use..

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Feasibility of Healthcare Providers’ Autonomic Activation Recognition in Real-Life Cardiac Surgery Using Noninvasive Sensors

Abstract Cardiac surgery is one of the most complex specialties in medicine, akin to a complex sociotechnical system. Patient outcomes are vulnerable to surgical flow disruptions (SFDs), a source of..

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Cardiopulmonary bypass preparation is mandatory in cardiac exploration for blunt cardiac injury patients

Abstract Treating cardiac injuries following blunt trauma to the chest requires thorough examination, accurate diagnosis, and therapeutic plan. We present two cases; pulmonary vein rupture and left atrial appendage laceration,..

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Impact of Single versus Double Clamp Technique on Blood Lactate Levels and Postoperative Complications in Coronary Artery Bypass Surgery

Abstract Introduction: Cardiopulmonary bypass (CPB) is associated with hyperlactatemia, which leads to adverse clinical outcomes. No study has examined the effect of different clamping techniques on postoperative hyperlactatemia (PHL). Thus,..

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Viscoelastic Coagulation Monitor as a Novel Device to Assess Coagulation at the Bedside. A Single-Center Experience During the COVID-19 Pandemic

Abstract Viscoelastic coagulation monitor (VCM) is a portable device developed to evaluate the viscoelastic properties of whole blood activated by contact with glass. In this study, VCM was employed to analyze..

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Perioperative cell salvage

Abstract The National Blood Service for England collects, tests, processes, stores, and issues ∼2.1 million blood donations each year, and the optimal use of this scarce resource is of paramount..

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Improving Hemocompatibility: How Can Smart Surfaces Direct Blood To Fight against Thrombi

Abstract Nature utilizes endothelium as a blood interface that perfectly controls hemostasis, preventing the uncontrolled formation of thrombi. The management of positive and negative feedback that finely tunes thrombosis and..

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Computer Vision in the Operating Room: Opportunities and Caveats

Abstract Effectiveness of computer vision techniques has been demonstrated through a number of applications, both within and outside healthcare. The operating room environment specifically is a setting with rich data..

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The International Society for Minimally Invasive Cardiothoracic Surgery Expert Consensus Statement on Transcatheter and Surgical Aortic Valve Replacement in Low-…

Abstract Objective There is an increasing amount of evidence supporting use of transcatheter aortic valve replacement (TAVR) for treatment of aortic stenosis in patients at low or intermediate risk for..

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Cardiopulmonary bypass in a child with severe Factor XII deficiency

Abstract Factor XII (FXII) deficiency presents as a prolonged activated partial thromboplastin time (aPTT) but is not associated with clinically significant bleeding. Activated clotting time (ACT) is used routinely to..

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Effect of Hematocrit on the CO2 Removal Rate of Artificial Lungs

Abstract Extracorporeal CO2 removal (ECCO2R) can permit lung protective or noninvasive ventilation strategies in patients with chronic obstructive pulmonary disease (COPD) and acute respiratory distress syndrome (ARDS). With evidence supporting ECCO2R..

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Malaria and the Heart: JACC State-of-the-Art Review

Abstract As one of the tropical diseases, malaria is endemic in developing countries. Severe malaria, mainly caused by the Plasmodium falciparum parasite, can result in life-threatening complications. Traditionally, cardiac involvement has not..

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Simple equations to predict the effects of veno‐venous ECMO in decompensated Eisenmenger syndrome

Abstract Adult patients with uncorrected congenital heart diseases and chronic intracardiac shunt may develop Eisenmenger syndrome (ES) due to progressive increase of pulmonary vascular resistance, with significant morbidity and mortality...

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Surgical and multimodality treatment of cardiac sarcomas: A systematic review and meta‐analysis

Abstract Introduction Primary cardiac sarcomas (PCSs) are an extremely rare and aggressive type of malignancies that have been described only by a limited number of observational studies. This study aimed..

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The association between SARS-CoV-2 infection and preterm delivery: a prospective study with a multivariable analysis

Abstract Background: To determine whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, the cause of COVID-19 disease) exposure in pregnancy, compared to non-exposure, is associated with infection-related obstetric morbidity. Methods:..

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Heparin-Induced Thrombocytopenia

Abstract Heparin-induced thrombocytopenia is an immune-mediated disorder caused by antibodies that recognize complexes of platelet factor 4 and heparin. Thrombosis is a central and unpredictable feature of this syndrome. Despite..

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Expanding controlled donation after the circulatory determination of death: statement from an international collaborative

Abstract A decision to withdraw life‑sustaining treatment (WLST ) is derived by a conclusion that further treatment will not ena‑ble a patient to survive or will not produce a functional..

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Reducing delirium and cognitive dysfunction after off-pump coronary bypass: A randomized trial

Abstract Background Neuropsychiatric complications of surgical  are inconspicuous but frequent and clinically relevant. So far, attempts to reduce their occurrence, such as the introduction of off-pump coronary artery bypass (OPCAB) grafting..

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Red blood cell transfusion requirements for patients on extracorporeal membrane oxygenation

Abstract Background: Extracorporeal membrane oxygenation (ECMO) is a rescue procedure used for cardiac and pulmonary dysfunction. Patients on ECMO often require blood transfusions to maintain oxygen delivery and recover from..

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Professionalism: microaggression in the healthcare setting

Abstract Purpose of review  Microaggressions are daily commonplace, subtle behaviors and attitudes toward others that arise from conscious or unconscious bias. Not only can microaggressions affect one's access to power, resources,..

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Updating an Empirically Based Tool for Analyzing Congenital Heart Surgery Mortality

Abstract Objectives: STAT Mortality Categories (developed 2009) stratify congenital heart surgery procedures into groups of increasing mortality risk to characterize case mix of congenital heart surgery providers. This update of..

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